| NPI | 1942253000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation Sports Medicine (Licence: OH 34.015988) |
| Additional Taxonomies | 2081S0010X Physical Medicine & Rehabilitation Sports Medicine (Licence: WA OP00001894) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2022-08-26 |